Objective:We aimed to evaluate the sleep quality and affceting factors of the healthcare professionals working in our hospital during the coronavirus disease-2019 (COVID-19) pandemic. Materials and Methods: One hundred fifty-two healthcare professionals, 95 females and 57 males working during the COVID-19 pandemic, were included in our study. In the study, the factors affecting sleep quality were statistically evaluated by using the patients' demographic features, the Pittsburgh Sleep Quality Index (PSQI), Fatigue Severity Scale, and Beck Anxiety and Beck Depression Scale. Results: According to the PSQI results, the participants of our study were divided into two groups as PSQI ≥5 (n=109, 71.7%) and PSQI <5 (n=43, 28.1%). In the group with poor sleep quality (PSQI ≥5), there were more females (p=0.003), the average age was younger (p=0.013), and the rate of anxiety and depression was higher (p<0.001 and p<0.001). Conclusion:According to the results of our study, during the COVID-19 pandemic, the quality of sleep of the healthcare staff was significantly impaired. The health of health professionals is also important in this long process. Practices for improving the quality of sleep of healthcare staff will contribute to the long-term struggle by strengthening the immune system in the fight of health workers against the virus.
Travmatik beyin hasarı sonrası gelişen ikincil psikotik mani: Vaka sunumu İkincil mani ya da hipomani, çeşitli durumlar ile ilişkili bulunmuştur. Travmatik beyin hasarı sonrası gelişebilen psikiyatrik eş tanıları arasında yaygın olarak duygusal, davranışsal ve bilişsel bozukluklar vardır. İki uçlu bozukluk, travmatik beyin hasarı sonrası gelişen mizaç bozuklukları veya anksiyete bozuklukları kadar sık olmasa da, yine de travmatik beyin hasarının potansiyel psikiyatrik bir komplikasyonudur. Bu yazımızdaki olguda, bir hastada travmatik beyin hasarı sonrası değişen psikiyatrik durum bildirilmiştir. Travmatik beyin hasarı sonrası değişen psikiyatrik durumunun olası nedenlerine, ek hastalıklarla birlikteliğine ve tanısal zorluklara dikkat çekilmek istenmiştir.
Açık etiketli klinik çalışmamız, tetik noktaları olan fibromyalji hastalarında kuru iğneleme yapılmasının uyku sorunları üzerine etkisinin araştırılması amacıyla yapıldı. Gereç ve Yöntem: Poliklinikte görülen en az altı aydır fibromiyalji tanısı ile takip edilmekte olan düzenli medikal tedavi altında bulunan üst trapez ve rhomboid kaslarında tetik noktaları olan toplamda 100 hastanın bilgilendirilmiş onamları alındı. Tüm hastalar öncelikle FEA (Fibromiyalji Etki Anketi), BDÖ (Beck Depresyon Ölçeği), PUKİ (Pittsburg Uyku Kalite İndeksi) ve VAS (Visuel Ağrı Skalası) ile değerlendirildi. Hastalar bilgisayar yardımlı basit randomizasyon ile iki gruba ayrıldı. Çalışma grubunda tetik noktaları olan 50 fibromiyalji hastasına birer hafta arayla toplamda 3 kez olmak üzere üst trapez ve rhomboid kaslarına toplamda kuru iğne uygulandı. Kontrol grubundaki tetik noktaları olan 50 fibromiyalji hastasına ise herhangi bir iğneleme yapılmadı. Tüm hastaların (tüm çalışma ve kontrol grupları) ilk değerlendirme anketlerinden bir ay sonra, FEA, BDI, PUKİ puanları yine kontrol edildi ve hastalar VAS (Visuel ağrı ölçeği) tarafından sorgulandı.
IntroductionThe exact prevalence of dementia in Turkey is unknown. The purpose of this study was to determine the frequency of dementia in members of the population aged 60 years and older, as well as the influence of detailed sociodemographic factors on the prevalence rate in Sivas City Center, a large city in the middle of Anatolia, Turkey. MethodsThis was a cross-sectional, simple random sampling, door-to-door, population-based study. A total of 500 individuals aged 60 and older from the city center region of Sivas, Turkey, were involved. A sociodemographic data form, the Standardized Mini-Mental Test, the clock drawing test, the Cornell Scale for Depression in Dementia, and the Daily Life Activities and Instrumental Daily Life Activities tests were used in the screening phase. ResultsA total of 500 individuals ranging in age from 60 to 95 years were assessed. A total of 84 participants were diagnosed with dementia. The dementia prevalence was found to be 16.8% in Sivas city province. Dementia was associated with age (p<0.001), female sex (p<0.001), marital status (p<0.001), family income (p<0.001), and the absence of formal education (p<0.001). ConclusionsThis study is the first community-based study of cognitive impairment in Turkey, with a study design, procedures, and diagnostic criteria designed to determining the rate of dementia. Old age, a higher score on the Cornell Scale for Depression in Dementia, and a low educational level were independent risk factors for dementia. Further studies are required to confirm these results.
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